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NICOLE DONALDSON M.D.
NPI 1396062931
Family Medicine in Norfolk, VA

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
301 RIVERVIEW AVE # 504, NORFOLK, VA 23510(757) 227-6866(757) 277-0998 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2017, Jul 5, 2017, Nov 17, 2015 (3 updates tracked since 2015).

About Nicole Donaldson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DONALDSON M.D. (NPI 1396062931) is an individual family medicine provider in Norfolk, Virginia, licensed in Virginia (0101254295) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Sentara Virginia Beach General Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396062931
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE DONALDSONCredential: M.D.
Location Address301 RIVERVIEW AVE # 504Norfolk, VA 23510-1065
Mailing Address301 Riverview Ave # 504Norfolk, VA 23510-1065 · (757) 227-6866 · Fax (757) 277-0998
Phone(757) 227-6866
Fax(757) 277-0998
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateSeptember 19, 20173 updates tracked since enumeration
✔ NPI 1396062931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101254295
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
301 RIVERVIEW AVE # 504, Norfolk, VA 23510
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Other Names 1

Former Name (1)Nicole Jones M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Donaldson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022251966
PECOS Enrollment IDI20130826000407
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers36 claims93 services$6.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims24 services$1.01 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers30 claims30 services$212.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Donaldson's NPI number?

The NPI number for Nicole Donaldson is 1396062931. It was assigned to this individual provider in the NPPES registry on April 21, 2010. The provider is also known as Nicole Jones M.D..

Where is Nicole Donaldson located?

Nicole Donaldson practices at 301 Riverview Ave # 504, Norfolk, VA 23510. The listed phone number is (757) 227-6866.

What is Nicole Donaldson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Donaldson enrolled in Medicare?

Yes. Nicole Donaldson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Donaldson accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Nicole Donaldson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Donaldson affiliated with any hospitals?

According to CMS data, Nicole Donaldson is affiliated with Sentara Virginia Beach General Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Donaldson was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.